| NPI | 1326076415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN ELISE DE YOUNG Owner 616-281-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009069) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |